Latest reports, citations, and penalties from CMS data
The November 9 incident at Avenir at Mark Twain involved a cognitively intact resident who depends on dialysis to stay alive....
She documented in the medical record that the resident was not in the facility during her shift....
She said the facility would support and honor his wishes by not allowing him to return after a hospital stay....
The incident at The Village of East Harbor occurred on November 30, when the family member of resident R901 requested toileting assistance....
Federal inspectors visiting Nexus at Berwyn in December found blackish mold covering the bottom of all four walls in a common shower room used by 11 residents....
"The curtains were torn and in need of replacement," the supervisor told inspectors on December 18 as they examined rooms A, B, and C at Stonebrook Post Acute....
The resident was admitted in September for rehabilitation following hospitalization....
Federal inspectors documented the violation during a complaint investigation completed December 22, 2025....
The resident's physician ordered Bumex, a powerful diuretic medication, to be administered twice daily starting December 11....
The incident allegedly occurred on November 28, 2025, during the night shift when Employee 3 was assigned to care for Resident 1....
LPN #140 at Three Meadows Post Acute revealed during a December inspection that Resident #51 was the only current resident with an ankle monitor....
Resident 58 needed a low air loss mattress at all times, according to physician orders from May....
She said activities staff were responsible for keeping facility management informed of resident issues....
Her physician had specifically ordered staff to hold those medications if she developed loose or watery stools....
The patient's family held power of attorney and was visiting another relative just down the hall when staff placed the catheter without their knowledge....
Federal inspectors found the violation during a complaint investigation on December 23....
Resident 1 had been readmitted to the facility with a fractured left tibia and acute kidney failure....
Federal inspectors found the medications during an unannounced visit to Cedar Pine Post Acute on December 23....
The doctor had ordered nurses to hold the medication if the resident's heart rate dropped below 60 beats per minute....
The facility's licensed vocational nurse confirmed that staff member A had verified the policy change but noted no time documentation for the implementation....